Organization Active NPI

Rosemarie M. Dam, DDS, Inc.

  • General Practice Dentistry
  • Pomona, CA
National Provider Identifier
1770770802
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47251 Issued in CA
Legal business name
ROSEMARIE M. DAM, DDS, INC.
Practice address
1182 E Holt Ave
Pomona, CA 91767-5833
Phone
(909) 865-6585
NPI assigned
Oct 3, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rosemarie M Dam, DDSNPI 1376639369
Title
Owner/Dentist
Phone
(909) 865-6585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47251 CA Primary

Addresses

Primary practice location

1182 E Holt Ave
Pomona, CA 91767-5833

Mailing address

1182 E Holt Ave
Pomona, CA 91767-5833
Phone (909) 865-6585

National Provider Directory

National Provider Directory

Locations

1182 E Holt Ave
Pomona, CA 91767
Phone (909) 623-8502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1770770802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675833",
            "telephone_number": "909-865-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675833",
            "telephone_number": "909-865-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARIE M. DAM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "DAM",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-865-6585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.